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enterograPhy Dual Study: MRI Abdomen with and without contrast MRI Pelvis with and without contrast 74183 72197 Crohn’s disease Crohn’s fistulous disease Celiac disease (Sprue) Small bowel tumor Yes Contrast and glucagon Body mri extremity, non-Joint: Forearm Humerus Lower Leg/Calf Femur/Thigh MRI Non-Joint without contrast: Upper Extremity

  Small, Below, Small bowel, Enterography

MRI EXAM CPT CODE REFERENCE - Wake …

STUDY CPT DESCRIPTION CPT CODE INDICATIONS FOR EXAM OR STUDY CONTRAST REQUIRED? SPECIALTY MRI BRAIN MRI MRI Brain without contrast 70551 Alzheimer’s Stroke/CVA

  Code, Exams, Reference, Mri mri, Mri exam cpt code reference

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Body Part Procedure for Pre-authorization cPt code indication for ct exam or Study contra St Pec ct head CT Head without contrast 70450 Trauma Headaches CVA Stroke/Bleed ...

  Determine, Reference, This, Quickly, This reference to quickly determine the

MRI EXAM CPT CODE REFERENCE - Wake …

STUDY CPT DESCRIPTION CPT CODE INDICATIONS FOR EXAM OR STUDY CONTRAST REQUIRED? SPECIALTY MRI BRAIN MRI MRI Brain without contrast 70551 Alzheimer’s Stroke/CVA

  Code, Exams, Reference, Indications, Mri mri, Mri exam cpt code reference

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Body Part Procedure for Pre-authorization cPt code indications for exam or study contrast* Pec Brain mri MRI Brain without contrast 70551 Alzheimer’s Stroke/CVA

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Use this reference to quickly determine the correct exam ...

Body Part Procedure for Pre-authorization cPt code indication for ct exam or Study contra St Pec ct head CT Head without contrast 70450 Trauma Headaches …

MRI EXAM CPT CODE REFERENCE

73725 Peripheral vascular disease Yes Orthopedic Body MR ARTHROGRAM Upper Extremity Shoulder Elbow Wrist MRI Upper Extremity Joint with contrast 73222 Slap tear Ligament Injury Loose body Tunnel syndrome TFCC tear Labral tear (contrast given at ordering provider’s discretion) Yes Orthopedic

  Shoulder, Orthopedic

MRI EXAM CPT CODE REFERENCE

Please review the MRI safety checklist with each patient. Notify WR Express Scheduling if your patient has a history of renal failure. Creatinine levels can be obtained prior to contrasted studies, if needed, at most Wake Radiology MRI locations. Call if you have any questions 919-232-4700.

  Checklist

MRI EXAM CPT CODE REFERENCE - Wake Radiology

MRI Lumbar Spine without contrast 72148 Back/leg pain Sciatica/radiculopathy Degenerative disk disease Spondylolisthesis Disk herniation (HNP) Spinal stenosis Radiculopathy Compression fracture Trauma Scoliosis No Neurology MRI Lumbar Spine with and without contrast 72158 Discitis (disk infection) Post-op hx of back surgery ...

  Sciatica

Contrast Guidelines for Common CT/CTA MRI/MRA

Bladder cancer, suspected CT Abdomen & Pelvis w 74177 Cancer staging CT Abdomen & Pelvis w 74177 MRI Abdomen w & wo 74183 Flank pain, renal colic CT Abdomen & Pelvis wo 74176 Hematuria (CT Urogram, CT IVP) CT Hematuria Protocol ‐ CT/IVP w & wo 74178 MRI Abdomen and Pelvis w & wo 74183 & 72197

  Guidelines, Common, Contrast, Contrast guidelines for common ct, Pelvis

Commonly Used CPT Codes for CT (Computed Tomography)

CT Pelvis with IV Contrast 72193 Evaluate organs of the Pelvis- Bladder, Ovaries, Uterus, Prostate. LLQ or RLQ Pain, Mass, Pelvic Tumor, Inguinal Hernia, Abscess *Not usually ordered without CT Abdomen. CT Pelvis without IV Contrast 72192 Evaluate Bony structures of the Pelvis-Trauma,

  Tomography, Computed, Computed tomography, Pelvis, Ct pelvis

CT/CTA/MRI/MRA PRIOR AUTHORIZATION FORM - Cigna

☐ ABDOMINAL/ PELVIS Abd/Pelvis Combination Study ... Massachusetts Collaborative — CT/CTA/MRI/MRA Prior Authorization Form May 2016 (version 1.0) ☐ REQUEST FOR ANNUAL SCREENING FOR BREAST CANCER (If yes ...

  Form, Authorization, Prior, Cigna, Pelvis, Cta mri mra prior authorization form

BIOPSY CPT CT SCANS CPT - Desert Rad

flouroscopic guided biopsy 77002 pelvis w/ contrast 72193 ct guided biopsy 77012 pelvis w/ & wo contrast 72194 mr guided biopsy 77021 sinuses/maxillofacial wo contrast 70486 sinuses/maxillofacial w/ contrast 70487. cta cpt. sinuses/maxillofacial w/ & wo contrast 70488 abdomen. 74175;

  Pelvis